Department of Pediatric Hematology and Oncology, University Children's Hospital Munster, Munster, Germany.
Anticancer Drugs. 2010 Jun;21(5):514-22. doi: 10.1097/CAD.0b013e3283375d5c.
Rhabdoid tumors are highly aggressive pediatric malignancies. Although the prognosis of children with rhabdoid tumors has improved, it still remains dismal and long-term survivors suffer from severe side effects of current therapeutic approaches. The objective of our study was to explore the toxicity of standard and novel anticancer drugs against rhabdoid tumors in vitro and to prioritize them for future preclinical and clinical studies. Antitumor activity of 10 standard anticancer drugs (doxorubicin, idarubicin, mitoxantrone, actinomycin D, temozolomide, carmustine, oxaliplatin, vinorelbine, methotrexate, thiotepa), five target-specific drugs (sorafenib, imatinib, roscovitine, rapamycin, ciglitazone) and two herbal compounds (curcumin and apigenin) was assessed by a modified 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide (MTT) cell proliferation assay on three rhabdoid tumor cell lines, A204, G401, and BT16, derived from different anatomical sites. Comparable with their high clinical activity, anthracyclines inhibited tumor cell proliferation by 50% (GI50) in the nanomolar range. Actinomycin D exhibited the lowest GI50 values overall ranging from 2.8x10(-6) nmol/l for G401 to 3.8 nmol/l for A204 cells while thiotepa was the only alkylating drug that inhibited tumor cell growth in clinically relevant concentrations. Target-specific drugs, such as sorafenib, roscovitine, and rapamycin, showed promising results as well. In this report, we show for the first time that apigenin and curcumin effectively inhibit rhabdoid tumor cell growth. Supporting earlier reports we conclude that cyclin D1 seems to be an excellent target in the treatment of rhabdoid tumors. Idarubicin or mitoxantrone represent potent alternatives to doxorubicin, and vinorelbine may substitute vincristine in future clinical trials.
横纹肌肉瘤是一种高度侵袭性的儿科恶性肿瘤。尽管横纹肌肉瘤患儿的预后有所改善,但仍不容乐观,长期幸存者会遭受当前治疗方法的严重副作用。我们的研究目的是探讨标准和新型抗癌药物对横纹肌肉瘤的体外毒性,并将其优先用于未来的临床前和临床研究。通过改良的 3-(4,5-二甲基噻唑-2-基)-2,5-二苯基-2H-四唑溴盐(MTT)细胞增殖法,评估了 10 种标准抗癌药物(阿霉素、伊达比星、米托蒽醌、放线菌素 D、替莫唑胺、卡莫司汀、奥沙利铂、长春瑞滨、甲氨蝶呤、噻替派)、5 种靶向药物(索拉非尼、伊马替尼、罗沙司他、雷帕霉素、西格列汀)和 2 种草药化合物(姜黄素和芹菜素)对三种横纹肌肉瘤细胞系(A204、G401 和 BT16)的抗肿瘤活性。与它们的高临床活性相当,蒽环类药物以纳摩尔级抑制肿瘤细胞增殖 50%(GI50)。放线菌素 D 表现出最低的 GI50 值,总体范围从 G401 的 2.8x10(-6) nmol/l 到 A204 细胞的 3.8 nmol/l,而噻替派是唯一能在临床相关浓度下抑制肿瘤细胞生长的烷化剂。靶向药物,如索拉非尼、罗沙司他和雷帕霉素,也显示出了有希望的结果。在本报告中,我们首次表明芹菜素和姜黄素能有效抑制横纹肌肉瘤细胞的生长。支持早期的报道,我们得出结论,细胞周期蛋白 D1 似乎是横纹肌肉瘤治疗的一个极好的靶点。伊达比星或米托蒽醌是阿霉素的有效替代品,长春瑞滨可能在未来的临床试验中替代长春新碱。